Health Condition 1: null- Atrial fibrillation in patients who have undergone mitral valve replacement/ repair
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients with rheumatic mitral valve disease who have undergone mitral valve replacement/ repair (3 to 6 months post surgery) 2.Patients > 15 years of age 3.Patients with chronic AF 4.Patients giving written informed consent
Exclusion criteria
Exclusion criteria: 1.Patients intolerant of β blockers or Diltiazem or having a ventricular rate 2.Patients with a LA > 60 mm in any diameter or LA volume > 216 cm3 3.Patients 4.Patients with LV dysfunction 5.Inability to comply with the follow-up period 6.Patients not giving written consent for inclusion in the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maintenance of sinus rhythm at 6 monthsTimepoint: Maintenance of sinus rhythm at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Occurrence of pro-arrhythmic events in patients receiving oral Flecainide therapyTimepoint: QRS duration will be monitored with standard/EASI derived 12 lead ECG at 25 and 50 mm/s speed prior to the first dose and then before every dose for a total of 3 doses. Patients will be followed up at 1 week, 3 months and 6 months. Holter monitoring will be done at or after 6 months in patients who are maintaining sinus rhythm. | — |
Countries
India
Contacts
AIIMS